ROYLROYL, LLCCol. Philip Lisagor, USA (Ret), MD, FACS, CEO and Founderwww.TheROYL.comRest of Your LifeCopyright © 2011 All...
Solution Overview - 1 ROYL is an integrated and comprehensive web  app to help patients-families-loved ones achieve  easy...
Solution Overview - 2 High Level Solution Description:        • Increase the occurrence of advanced care planing         ...
Usability and Design ROYL will morph to a tablet app with increased knowledge and logic  to allow ROYL champions to be pr...
Development Stage ROYL is an existing web app that has been  through Beta and focus group testing with Code  Complete and...
Integration Description Integration Points       ROYL Family Conference                Series of guided points and ques...
Go to Market Plans Marketing Models       •   ROYL will be an optional add on for physicians, groups and care delivery or...
Video Demonstration/Web Links  Video: Philip Lisagor, MD, FACS discusses ROYL •    https://vimeo.com/58795623  right cli...
Why this solution should beselected - 1•   How and Why ROYL was developed: I am a retired cardiothoracic surgeon    and ha...
Why this solution should be  selected - 2Improving quality of health care, minimizing variation from benchmarkstandards of...
Why this solution should be    selected - 3•   ROYL begins with the goal of increasing advanced care planning. This may ut...
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ROYL/Allscripts

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ROYL is an integrated and comprehensive web app to help patients and families do Rest of Your Life planning.

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ROYL/Allscripts

  1. 1. ROYLROYL, LLCCol. Philip Lisagor, USA (Ret), MD, FACS, CEO and Founderwww.TheROYL.comRest of Your LifeCopyright © 2011 Allscripts Healthcare Solutions, Inc. 1 1
  2. 2. Solution Overview - 1 ROYL is an integrated and comprehensive web app to help patients-families-loved ones achieve easy and quick Rest of Your Life planning. Healthcare/Business problem addressed: • 10,000 Americans will turn 65 every day for the next 20 years = 78 million boomers • These baby boomers still have 36 million parents and 80 million children alive (sandwich generation) • Health care costs continue to grow particularly in the > 65 year old group • Rest of Your Life planning reduces waste currently estimated at $80-100 billion dollars annually • ROYL will meet HHS HITECH MU 2 & 3 standards for EHR reimbursement of EHR purchase • advanced care planning on the EHR • patient engagement through patient portal into the EHRA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 2 2
  3. 3. Solution Overview - 2 High Level Solution Description: • Increase the occurrence of advanced care planing • advanced directives and designation of health agent proxy • improved availability of advanced directives and health agent proxy documentation • increase patient autonomy and engagement • Increase utilization of home modifications and adaptive architecture • Increase utilization of cloud based home health monitoring • weight scales for CHF, glucometers for DM, Wright inspirometers for COPD/emphysema and ‘mini-Pyxis’ like pharmacy monitors • reduce hospital admissions and readmissions • Earlier utilization of home hospice care ROYL addresses the following category:  Home Health Monitoring will reduce hospital admissions and readmissions for the CMS goals in CHF, DM, COPD  ROYL will reduce costly treatments that aren’t desired as patients approach End of Life care and replace with increased compassionate care and home hospice care.  ROYL will keep patients at home and preserve financial integrity of familiesA Connected Community of Health 3 | Copyright © 2011 Allscripts Healthcare Solutions, Inc.
  4. 4. Usability and Design ROYL will morph to a tablet app with increased knowledge and logic to allow ROYL champions to be present in doctor’s offices and care delivery organizations ROYL will be offered to new patients (office/hospital) in conjunction with a ROYL champion to achieve advanced care planning ROYL champions will coordinate with discharge planners (office/hospital) to reduce hospital admissions/readmissions • home evaluations for adaptive architecture and home modifications • home health monitoring devices for Congestive Heart Failure, Diabetes and Emphysema/COPD • knowledge of availability of earlier home health hospice• ROYL will be utilized as an add on to the Allscripts EHR/EMR package in use by the doctor, the group or the care delivery organizationA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 4 3
  5. 5. Development Stage ROYL is an existing web app that has been through Beta and focus group testing with Code Complete and awaiting testing and approval by Allscripts Parts of ROYL are provided to interface with the Allscripts API utilizing the Allscripts SDK • Advanced care planning documents for the State of NV will be saved as an Allscripts document after being completed on the Allscripts/ROY app • The ROYL Family Conference which will be saved as an Allscripts document after being completed on the Allscripts/ROYL appA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 5 4
  6. 6. Integration Description Integration Points  ROYL Family Conference  Series of guided points and questions for the patient, their family, and care providers  Conference results and inputs will be saved to Allscripts per patient/user as a Document  Nevada Advanced Directive and Durable Power of Attorney Form  Form inputs and data collection will be saved to Allscripts per patient/user as a Document APIs/Web Services  Enterprise EHR Unity SDK  SavePatient, SearchPatients, GetPatientFull, GetPatientIDs  SaveNote, SaveUnstructuredDocument, SaveDocumentImage, GetDocuments, GetDocumentType, GetDocumentImage  SaveSimpleEncounterA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 6 5
  7. 7. Go to Market Plans Marketing Models • ROYL will be an optional add on for physicians, groups and care delivery organizations • ROYL will be available either as an “all you can eat” purchase for large groups of patients or as a pay as you go for each patient • ROYL is currently working with Wal-Mart/Dossia.org to bring ROYL to Wal-Mart associates (1.4 million) through the Dossia.org livli.com web site • ROYL is available in a B to C model through the internet • ROYL will be marketed subsidiary to Allscripts distributors including Henry Schein etc. • Allscripts customers will include individual practices, group practices and care delivery organizations. • The current charge for ROYL type planning by boutique medical practices is $1500 per individual, ROYL will provide this service for $15 per individual. For larger groups ROYL will negotiate the priceA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 7 6
  8. 8. Video Demonstration/Web Links  Video: Philip Lisagor, MD, FACS discusses ROYL • https://vimeo.com/58795623  right click for live link to ROYL  right click for live link to www.TheROYL.comA Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 8 7
  9. 9. Why this solution should beselected - 1• How and Why ROYL was developed: I am a retired cardiothoracic surgeon and have served as a Chief of Surgery, Assistant Medial School Dean and Chief of Quality Management for the US Army. During my career I came to realize that no one was really talking to patients about the meaning of their situations. I learned about doing this and is was a positive experience for me and for my patients. When I retired, I wanted to provide a computer companion for doctors and their patients to help people have ‘The Conversation.”• How and Why ROYL has evolved: I developed ROYL as a web app geared to doctors and end of life care. In this process, I came to understand that there were many stakeholders involved in addition to doctors- nurses, lawyers, financial planners and insurance agents, social service workers, health and retirement specialists and death industry workers. I also realized that this is about living and about the Rest of Your Life and that end of life issues are important but need to be addressed earlier on and as part of Rest of Your Life planning. ROYL is dedicated to the many patients and families and loved ones I have worked with the past forty years and for their patience with me. 9
  10. 10. Why this solution should be selected - 2Improving quality of health care, minimizing variation from benchmarkstandards of care, is the way to reduce the cost of health care. ROYL improvesquality of care by increasing patient engagement and education regardingoptions for health care through advanced care planning. If patients will doadvanced care planning, they can be involved in all the home issues; homemodification to keep them at home, home health monitoring to keep them out ofthe hospital and home hospice to keep them at home. Promoting ROYL tophysicians and their patients is the right thing to do and will increase quality ofcare, increase patient-family-loved one satisfaction with care and will reducethe cost of care. The Allscripts EHR is the perfect medium to bring ROYL toAmericans and their care providers.A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 9 8
  11. 11. Why this solution should be selected - 3• ROYL begins with the goal of increasing advanced care planning. This may utilize a new work force member to be a ROYL Champion in clinical settings. If a patient chooses to do advanced care planning, they are on the road to fulfilling their goals of remaining at home and preserving the family financial integrity. The ROYL Champion will follow up with help for home modifications, for home health monitoring and for earlier home hospice in appropriate situations.• ROYL also facilitates patient/family/loved one interactions with doctors, nurses, lawyers, financial planners and insurance agents, social service workers, health and aging specialists and death industry workers.• ROYL helps patients/families/loved ones and health care providers have ‘The Conversation’• ROYL also meets some HITECH MU-2 criteria for advanced care planning and helps care providers meet their goals for HITECH reimbursement• ROYL also meets some HITECH MU-3 criteria for patient health portals to increase patient engagement with the EMR/EHR• ROYL improves the quality of care, increases patient/family/loved ones satisfaction and reduces the cost of health care. 11

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